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NPI Code Detail

MEDICARE: EMILY ROSE KALAMBAHETI DC

MEDICARE:   EMILY ROSE KALAMBAHETI  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NN0400XNeurology ChiropractorCH12092FL

General Provider Information

NPI Number : 1437774460
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ROSE KALAMBAHETI DC
Provider Business Mailing Address
First Line : 2000 N ALAFAYA TRL STE 600
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4741
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 N ALAFAYA TRL STE 600
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4741
Country : US
Telephone Number : 855-955-9727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2020
Last Update Date : 06/16/2020

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Directions to “ EMILY ROSE KALAMBAHETI DC” Practice Location

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